Coma scale, eyes open, to pain, at hospital admission

This code indicates a specific level of consciousness assessed upon a patient's arrival at the hospital. It signifies that the patient's eyes opened only in response to a painful stimulus, as part of the Glasgow Coma Scale (GCS) assessment. This finding suggests a significant impairment in neurological function.

Apply this code for patients presenting to the hospital with altered mental status, head injury, stroke, or other conditions affecting consciousness. Documentation must explicitly state that the patient's eyes opened to pain during the initial GCS assessment upon admission.

• Ensure the GCS assessment is clearly documented as occurring "at hospital admission" or "on arrival."
• Do not use this code if the patient's eyes open spontaneously or to verbal command; select the appropriate GCS eye opening code.
• Always sequence this code after the primary diagnosis indicating the underlying condition causing the altered mental status.